Original Research Article
Year: 2020 | Month: January-March | Volume: 5 | Issue: 1 | Pages: 71-77
A Study on Pregnancy Outcome in Women with Subchorionic Haemorrhage Detected In First and Second Trimester of Pregnancy in Kashmir Valley
Shayesta Rahi1, Masarat Rashid2, Syed Sabahat Ashraf3, Bilal Ahmad Bhat4
1Department of Obstetrics and Gynaecology, Lalla Ded Hospital, GMC Srinagar, J&K
2Department of Obstetrics and Gynaecology, Sheri Kashmir Institute of Medical Sciences, Soura, Srinagar, J&K
3Regional Research Institute Of Unani Medicine, Naseem Bagh Campus, Hazratbal. Srinagar, Kashmir J&K
4Division of Social Science, Faculty of Fisheries, Rangil Ganderbal, SKUAST-Kashmir, J&K
Corresponding Author: Bilal Ahmad Bhat
ABSTRACT
Background and objective: The most common sonographic abnormalities and the most common cause of first trimester miscarriage, mostly associated with vaginal bleeding is subchorionic hemorrhage. The main aim of present study conducted in Kashmir valley was to find out the effect of subchorionic hemorrhage in first and second trimester of pregnancy outcome.
Methods: In the present study carried out in 2018-19 using simple random sampling design, 150 antenatal women with viable intrauterine pregnancy between 6 and 13 weeks were included in this study and with diagnosis of subchorionic hematoma with or without genital bleeding and visible heart rate by ultrasound. The study assessed the relationship of the volume size of subchorionic hematoma, maternal age and gestational age at time of the diagnosis with adverse pregnancy outcomes. The women with a non-viable pregnancy, fetal abnormality, multiple pregnancy and women with medical diseases were excluded from our study.
Results: In the present study the majority of the respondents (32%) were in the age group of 26-30 years with age ranged from 19 to 43 years, showed ultrasonographic evidence of a live fetus and subchorionic hematoma. The gestational age of 71.33% of the women under study was less than 12 weeks, 52.67% reported Primigravida and 47.33% Multigravida. The size of hematoma of 62% of patients under study was less than 5cm3, and 16.67% of patient had a hematoma more than 10cm3 in size. The study showed that previous miscarriage and current pregnancy outcome are not associated (P>0.05), maternal age, size of haematoma (cm3) and pregnancy outcome were nor related statistically (P>0.05), Gestational age and size of haematoma (cm3) are associated statistically (P<0.01).
Conclusion: The subchorionic hematoma in first and second trimester of pregnancy related with unfavorable pregnancy outcome (spontaneous miscarriage and preterm delivery. The women with subchorionic hemorrhage should receive more counseling as to the risks to their pregnancy may increase risk for undesirable pregnancy outcome.
Keywords: Kashmir, Subchorionic hemorrhage, Ultrasonography, Pregnancy outcome, Vaginal bleeding, Miscarriage.